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A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Acupuncturist |
171100000X | |||
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1750990024 |
| LBN Legal business name | BROAD AVE CHIROPRACTIC LLC |
| Authorized official | HYUNIK HWANGBO - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/23/2020 |
| Last updated | 07/23/2020 - About 6 years ago |
| Identifiers | n/a |
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BROAD AVE CHIROPRACTIC LLC
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BROAD AVE CHIROPRACTIC LLC